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Utilization Management
https://www.caresource.com/benefits-services/utilization-management/The HAP CareSource MI Health Link Utilization Management (UM) team will review the health care services you get, based on established criteria or guidelines. We review to make sure it...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/Telehealth uses your phone, computer, or tablet to speak to a provider. It removes the stress of needing transportation to and from the provider’s office. You can talk to a...
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Provider Manual
https://www.caresource.com/providers/tools-resources/provider-manual/...as a link between your office and HAP CareSource™ MI Health Link (Medicare-Medicaid Plan). It provides important information on topics such as covered services, services that require prior authorization, claim...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/Your Prescription Drug Formulary (or just Formulary) is a list of cost-effective drugs that you might use. Usually, drugs and devices on the Formulary are covered for you, but sometimes...
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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/Looking for 2025 Benefit Information? Learn More about 2025 Benefits The Medication Therapy Management (MTM) program can help you learn about your medications, prevent or address medication-related problems, decrease costs,...
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Health Care Links
https://www.caresource.com/members/education/health-care-links/We want you to stay healthy. These links will help you learn more about health conditions. They also have steps you can take to keep a health condition from getting...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...cards with you when you get your prescriptions. Some drugs are covered by the state of Michigan, not HAP CareSource. When you go to the pharmacy, always take your HAP...
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Fitness Program
https://www.caresource.com/plans/marketplace/benefits-services/fitness/...Specialty Health. VS. What is Active&Fit? Active&Fit is a flexible, comprehensive fitness program. It provides access to a broad-range of fitness centers nation-wide. HAP CareSource has partnered with Active&Fit to...
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Caregiver Resources
https://www.caresource.com/members/tools-resources/caregiver-resources/...as you can about your loved one’s condition. Research the issues they face now and what may happen in the future. The more you educate yourself, the better you can...
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HAP